Middle colic vein draining to splenic vein: a rare anatomic variation encountered during a right hemicolectomy
| Autor: | Theodore Troupis, Ioannis Papapanagiotou, Vasileios Bonatsos, George Noussios, Theodoros Mariolis-Sapsakos, Markos Sgantzos, Alexandra Varlatzidou, John Tsiaoussis, Panagiotis Theodoropoulos, Dimosthenis Chrysikos, Theodoros Piperos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry education Case Report Greater omentum Anatomic Variation 03 medical and health sciences Dissection 0302 clinical medicine medicine.anatomical_structure Splenic vein 030220 oncology & carcinogenesis Middle colic vein medicine Ascending colon 030211 gastroenterology & hepatology Surgery Radiology Lymph business Laparoscopy |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Right or subtotal colectomy either open or laparoscopic may be a challenging operation owing to technical difficulties. One of these, is to identify a safe and adequate dissection plane, ligating and dissecting lymph nodes around middle colic vessels. The purpose of this study was to depict a rare anatomic variation of middle colic vein (MCV) draining to splenic vein. We report the case of a 55-year-old male patient, who was subjected to a right hemicolectomy for an adenocarcinoma in the ascending colon. During dissecting the transverse mesocolon from the greater omentum, for complete mesocolic excision (CME), we encountered that the MCV drained in the splenic vein. With respect of this rare anatomic variability, CME was completed without hemorrhage. Our aim is to depict that deep knowledge of MCV anatomy and its variations is of paramount importance to achieve CME and to avoid dangerous or massive bleeding. |
| Databáze: | OpenAIRE |
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